Individual provider Active NPI

Karin L Cunnie, FNP

  • Pediatric Nurse Practitioner
  • S Weymouth, MA
National Provider Identifier
1477534105
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
181421 Issued in MA
Practice address
549 Columbian St
Suite 100
S Weymouth, MA 02190-1138
Phone
(781) 337-5680
Fax
(781) 337-3275
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 181421 MA Primary

Addresses

Primary practice location

549 Columbian St
Suite 100
S Weymouth, MA 02190-1138

Mailing address

549 Columbian St
Suite 100
S Weymouth, MA 02190-1138
Phone (781) 337-5680

Other identifiers 2

IdentifierTypeStateIssuer
0340910MedicaidMA
NP2426OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000460 MA Practitioner - Nurse Practitioner 3375608359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
181421MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Jan 14, 2025 Accepting new patients
Atrius Health, Inc. CurrentSince Jan 14, 2025 Accepting new patients
Massachusetts Institute of Technology Past Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

111 Grossman Dr
Braintree, MA 02184
Phone (781) 849-1000

Interoperability endpoints

  • Direct secure messaging: kcunnienp41646@direct.atrius.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1477534105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 COLUMBIAN ST",
            "address_2": "SUITE 100",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021901138",
            "telephone_number": "781-337-5680",
            "fax_number": "781-337-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 COLUMBIAN ST",
            "address_2": "SUITE 100",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021901138",
            "telephone_number": "781-337-5680",
            "fax_number": "781-337-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNIE",
        "first_name": "KARIN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "181421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340910",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NP2426",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Weymouth, MA

Sources for this page

Verify at the official NPI Registry.